LTSS Service Coordinator – RN Clinician

Job not on LinkedIn

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Professional Management Enterprises (PME)

WebsiteLinkedInAll Job Openings

51 - 200 employees

PME is a Minority and Service Disabled Veteran Owned Business founded in 2006, that is a highly valued teaming partner in multiple states to large corporations such as Humana, KPMG, Ernst and Young, Anthem, and HP to name a few. Additionally, we provide services in the areas of healthcare, IT, and professional services to Department of Defense and other Federal Government clients. We also are highly engaged in state work in our home state of Indiana, as well as multiple other states nationwide. We successfully leverage our abilities in Healthcare, Managed Care, IT, and Human Capital Services with our flexibility and robust performance.

📋 Description

• Manage members' cases within the scope of licensure, providing supervision and direction to non-RN clinicians. • Conduct telephonic or face-to-face clinical assessments to identify and evaluate members' needs, including physical health, behavioral health, social services, and long-term services and supports. • Identify members at high risk for complications and coordinate care in collaboration with the health care team. • Develop, monitor, evaluate, and revise individualized care plans to optimize member health across the care continuum. • Establish short- and long-term goals in collaboration with members, caregivers, family, and physicians. • Identify members who would benefit from alternative levels of care or waiver programs. • Assist in the implementation of member care plans by facilitating authorizations/referrals for services. • Interface with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams on care management treatment plans. • Direct and/or supervise the work of non-RN clinicians, ensuring tasks are assigned appropriately and performance is reviewed regularly.

🎯 Requirements

• Registered Nurse (RN) with a minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role. • Current, unrestricted RN license in Indiana. • MA/MS in Health/Nursing preferred. • State-specified certification based on state law and/or contract may be required. • Training, expertise, and experience in providing case management and care coordination services for individuals, including specialized populations such as older adults and/or individuals with physical or developmental disabilities and/or individuals determined to have a serious mental illness (SMI). • Strong communication, organizational, and problem-solving skills. • Ability to work effectively in a collaborative team environment.

🏖️ Benefits

• Health, dental, vision and supplemental insurance • 401k • 80 hours of PTO • 10 paid holidays • Reimbursable mileage